Organization · Type 2 NPI
Carondelet Medical Group Inc
Foot & Ankle Surgery Podiatrist · Tucson, AZ
NPI number
1972834984
Active
Practice location
630 N Alvernon Way Ste 251
Tucson, AZ 85711-1879
Fax (520) 319-3982
Mailing address
PO Box 29347
Phoenix, AZ 85038-9347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 0546 (AZ) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0585 |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 647 (AZ) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0666 (AZ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
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About NPI 1972834984
Carondelet Medical Group Inc's National Provider Identifier is 1972834984, issued on Jan 15, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Tucson, AZ. The record was last updated on Aug 4, 2010.